NPI 1023536877

Mary Helen Wieczorek, ATCLAT

Practitioner Athletic Trainer Milwaukee, WI

Practice location

Address: 770 N 12th St, Milwaukee, WI 53233-2203
Phone: (414) 288-0328
Fax: (414) 288-6477
Mailing address: 4050 S Lake Dr APT 3, St Francis, WI 53235-5255

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1420-39 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1023536877
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2017
Record last updated: 15 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.